Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD00013686 | WA |
N | 207RA0201X | Internist - Allergy & Immunology | MD00013686 | WA |
NPI | 1194955989 |
---|---|
Provider Name | Arthur C Sprenkle |
First Address | Tacoma, WA 98405 |
Second Address | Tacoma, WA 98405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2009 |
Last Update Date | 15/07/2009 |